Diversity ABA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVERSITY ABA

Practice address

303 Premier Center North Ste 300
Atlanta, GA 30346

Phone

(404) 576-8332

NPI assigned

Apr 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andre AndersonNPI 1134398480

Title

Ceo/Bcba

Phone

(404) 576-8332

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andre L Anderson, BCBA

  • Contractor
  • Antioch, TN
  • NPI 1134398480
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1083294565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PREMIER CENTER NORTH STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30346",
            "telephone_number": "404-576-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PREMIER CENTER NORTH STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30346",
            "telephone_number": "404-576-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CEO/BCBA",
        "authorized_official_telephone_number": "404-576-8332"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dive Therapy & Consulting LLC
• Diverse Counseling & Psychological Associates, LLC
• Diverse Counseling & Psychological Associates, LLC
• Diverse Images Management Services LLC,
• Henry Leon Diversi Jr., DMD MSD
• Varada Dinkar Divgi, M.B.B.S. FAAP
• Divine Behavioral Services
• Divine Dermatology & Aesthetics LLC
• Divine Inclination Psychotherapy and Consulting, LLC
• Divine Intervention Behavioral Solutions LLC

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.